in-20261014-IR-405260389ONA: OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

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Summary

Public Notice Regarding Amendments to the Indiana PathWays for Aging Waiver In accordance with public notice requirements established at 42 CFR 441.304(f), The Indiana Family and Social Services Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) intends to submit an application for an Assisted Living 1915(c) waiver to the Centers for Medicare and Medicaid Services (CMS) for consideration. OMPP has proposed the waiver to be effective July 1, 2026, pending approval from CMS. The 30-day public comment period will run from October 14, 2026, through November 13, 2026. Comments may be emailed to INPathWays@fssa.IN.gov or mailed to the address below: The Indiana PathWays for Aging implementation waiver drafts are available for review and public comment on the FSSA public notice webpage (https://www.in.gov/fssa/public-notices/). Copies of the waivers are also available at local Division of Family Resources offices.

The agency’s own summary, as published.

The rule, in full

205 words as published, October 14, 2026. View the original →

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Public Notice Regarding Amendments to the Indiana PathWays for Aging Waiver In accordance with public notice requirements established at 42 CFR 441.304(f), The Indiana Family and Social Services Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) intends to submit an application for an Assisted Living 1915(c) waiver to the Centers for Medicare and Medicaid Services (CMS) for consideration. Proposed Application to the Assisted Living 1915(c) Waiver Fiscal Impact (in Millions): Federal Budget Impact: FFY 2027 ($0) FFY 2028 ($0) State Budget Impact: FFY 2027 ($0) FFY 2028 ($0) Federal Budget Impact: SFY 2027 ($27.18) SFY 2028 ($27.18) State Budget Impact: SFY 2027 ($14.56) SFY 2028 ($14.56) OMPP has proposed the waiver to be effective July 1, 2026, pending approval from CMS. The 30-day public comment period will run from October 14, 2026, through November 13, 2026. Comments may be emailed to INPathWays@fssa.IN.gov or mailed to the address below: The Indiana PathWays for Aging implementation waiver drafts are available for review and public comment on the FSSA public notice webpage (https://www.in.gov/fssa/public-notices/). Copies of the waivers are also available at local Division of Family Resources offices.

E. Mitchell Roob, Jr.

Secretary Indiana Family and Social Services Administration

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